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JUN 3 1967 <br /> ORIGINAL WATER WELL DRILLERS REPgR,) Do Not Fill XTs <br /> Filo whit DWR (S�ccipe T9TlY7-0[tIr744Ir TOtl WaNr tCod.) ° s y - J w <br /> THE RESOURCES AGENCY,OF CALIFORNIA �� 4 3510! <br /> v' DEPARTMENT OF WATER RESOURCES aStase Well No r 77S <br /> other Well No <br /> (1) OWNER: (11) WELL LOG: <br /> Name Calif Water Service Conpany Tote)depth 590 ft Depth oftompletad.vd! <br /> Address S an Jose 0 Cali o rn a a• Formation Dejersbe 6y eolor,eberaeetr,s1w of wderral mad serstet8n <br /> £r <br /> (2) LOCATION OF WELL- 0 to 4' T02 0011 <br /> county San Joaquin Ownersaamlxr Lf 10Y 69-01 --4-to-801 Brown sand and clay- <br /> --Township Range aadsecnon 741 East <br /> �+o Netherton ve 2fil Sand and ravel <br /> V Dsataate from civet roads radmufs ire 6 00 ' 5 of Farmington Cj& to 125" Bim' n cl a <br /> lRoad, Stockton Cal3.fornia, 125 to 1372 Blue c1A <br /> (3) TYPE OF WORK (check): ' dy b row n C1 a. <br /> New Well [S Deepmutg E] Reconditioning Q Destroying © ' Brown Cla.v <br /> If destruchoa,describe nsatertal and trocedure m Item 11 d gad aravel <br /> (4) PROPOSED USE (checA): (5) EQUIPMENT: ' Blue. clay <br /> Domestic ❑ Industnal ❑ Murncipal 0 Rotary ❑ 39S to 2281 Sand and Gravel <br /> lrngatlon ❑ Test Well ❑ Other gg Cable ❑ 22 R to 235 ' B ue clay and sand <br /> Other ; d small ravel <br /> (6) CASING INSTALLED: ' Hard bliae, qlay <br /> STEEL OTHER If gravel packed t j3jue sand and crraval <br /> SINGLE ® DOUSt-E © t fllliap clay <br /> Gage Diameter 33q 198, allie Clam <br /> ve l <br /> From To or of ]From To 14 4 Iqt ' RIne clay <br /> ft ft Dram Wail More ft. it t soine <br /> x Ott ::onduct or c3 zn avel <br /> ' " x 5 1 6 ` cast t d stks <br /> Srze of shoe or well ring Ssze of;Travel <br /> l7esersbe iorat <br /> (7) PERFORATIONS OR SCREEN <br /> Type of perforapon or name of screen <br /> Perf Rows <br /> From To ger per Size <br /> ft ft rave ft to X1 <br /> 199 5o6 _ fl -hoies per 1 - <br /> B CONSTRUCTION. <br /> ss s surface samnry real prowrdtd� Yew No C1 To whit depth 70 —(, <br /> Were any strata sealed s asnar poflutroa 2 Yes 0 No 0 I£yet note dapth of strata `r <br /> FOP, 7 ',- ,,+,, . <br /> ft ro ft ,{ <br /> m It to ft work stueed 4--14-677 Completed 4-24--6; <br /> 1&6od of mal-vWELL )DRILLER'S STATEMENT <br /> } WATER LEVELS Thss well was dulled under my ;urtsdtr#on and thn report rs true to The best <br /> of fray knarvledge and belsef <br /> tth at whrch water+rat$rat found cf kRovn fr <br /> Sca irvcl before perfaratsn tf known ft NAME RQ coe Kass Company <br /> $ avcl after rforatm and dt,e4 ,a fc (Person firm orcorporstron) ('I'y¢edorprsnlyd) <br /> WELL TESTS- mates, 4360 r-l+o r _ � r <br /> ovm tcstraadc? Tc, No o Ifyn,b whom7RoS00e "0Ss e�. California• - <br /> ..�.Rw ry e'e r,-. - <br /> s fal/m,n with ft dravdowa after ? 3 hes SIGx$nZ <br /> =J ratura of rater 'Wal a cbeaascai aaa)yata made? Yes❑ No 0 <br /> ttii ec rrsc to made of veil? Yes 0 No Q If Ica attach copy _ <br />